New Patient Information

New Patient Checklist

Thank you for selecting us as your orthopaedic provider. We are committed to your treatment and well-being, and we want your visit to be as pleasant and productive as possible. To prepare you for your visit, please make sure that you have the following when you arrive for your appointment:

• If possible, complete the Patient Information worksheet, Medical History form and Office Policies document prior to your arrival
• Insurance documentation
• Insurance company’s pre-authorization form (if required)
• All medical records, current medications, X-rays, MRI’s, CAT scans, and/or other tests related
  to your visit
• Name and phone number of an emergency contact
• Written acceptance of financial responsibility from employer (workers’ compensation patients)
• Employer and workers’ compensation insurance information. This includes in both cases:
  name of employer/carrier, address, telephone number, fax number and the name of a contact person
• Any necessary authorizations and/or primary care physician referrals
• Medicaid card (if applicable)
• All new patients are asked to arrive 15 minutes prior to the scheduled appointment time